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https://www.arca.fiocruz.br/handle/icict/6722
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- IFF - Artigos de Periódicos [1282]
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A COMPARATIVE ANALYSIS OF CLINICAL AND MOLECULAR FACTORS WITH THE STAGE OF CERVICAL CANCER IN A BRAZILIAN COHORT
Autor(es)
Afiliação
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisa Médica. Rio de Janeiro, RJ, Brasil.
Johns Hopkins Bloomberg School of Public Health. Department of Epidemiology Infectious Diseases. Baltimore, Maryland, USA.
Ohio State University. Comprehensive Cancer Center. Columbus, Ohio, USA.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Instituto de Medicina Tropical Laboratório de Virologia. São Paulo, SP, Brasil.
Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisa Médica. Rio de Janeiro, RJ, Brasil.
Johns Hopkins Bloomberg School of Public Health. Department of Epidemiology Infectious Diseases. Baltimore, Maryland, USA.
Ohio State University. Comprehensive Cancer Center. Columbus, Ohio, USA.
Fundação Oswaldo Cruz. Instituto de Pesquisa Clínica Evandro Chagas. Rio de Janeiro, RJ, Brasil.
Universidade de São Paulo. Instituto de Medicina Tropical Laboratório de Virologia. São Paulo, SP, Brasil.
Hospital Alemão Oswaldo Cruz. São Paulo, SP, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Fernandes Figueira. Rio de Janeiro, RJ, Brasil.
Universidade Federal Fluminense. Niterói, RJ, Brasil.
Fundação Oswaldo Cruz. Instituto Oswaldo Cruz. Laboratório Interdisciplinar de Pesquisa Médica. Rio de Janeiro, RJ, Brasil.
Resumo em Inglês
Cell cycle protein expression plays an important role in the pathophysiology of cervical cancer. However, few studies have
attempted to correlate the use of these biomarkers with the clinical progression of the tumor.
Objectives:1) To analyze the expression of Ki-67, p53 and p16
INK4a
in cervical cancer, 2) to correlate the relative expression
of these proteins as well as clinical parameters with the stage of disease, and 3) to determine the HPV DNA prevalence and
subtype distribution.
Methods:Tissue Micro-Arrays (TMA) from patients with invasive cervical cancer (ICC) and controls were analyzed. HPV DNA
detection was done by PCR and in situ hybridization. Ki-67, p53 and p16
INK4a
were analyzed by immunohistochemistry;
clinical data was derived from the chart review.
Results:Advanced tumor stage (III and IV) was strongly associated (p,0.005) with advanced age (.55 years old), with more
than four pregnancies and with the lack of formal education. HPV DNA was found in 94.3% of cases with the most prevalent
types being HPV16 (67.5%), followed by HPV33 (12.0%) and HPV35 (3.6%). High expression of Ki-67 and p16 was more
common in the advanced FIGO stages (p = 0.023). Women with HPV16 tended to be younger (50.9 years; SE 1.9) compared
to women with other types (59.9 years; SE 2.8).
Conclusion:We found that Ki-67 and p16 expression were independently associated with the tumor stage. We also noted
that about 1/3 of the cervical cancers in this Brazilian cohort were not associated with HPV types directly targeted by the
current HPV vaccines.
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